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Department of Veterans Affairs
VISN 16: South Central VA Health Care Network
Square Miles: 239,525
Veterans Enrollees: 696,742
States: 8
Senators: 16
Congressional Districts: 41
VAMCs: 11
CBOCs: 57
Vet Centers: 20
State Veterans Homes: 20
VBA Regional Offices: 5
National Cemeteries: 14
State Veterans Cemeteries: 4
Jack C. Montgomery Ernest Childers
Pawnee Service Unit
Outreach and Training for enrollment in VHA
Tele-Enrollment into VHA
Sharing Agreement for Direct Service
reimbursement
Use of Central Mail Order Pharmacy (CMOP)
Tele-health Services to enhance services
Pawnee Service Unit
Better Overall Patient Experience
Health Care Provided Closer to Home
Efficient Use of Health Care Resources
Use of Tele-health Technologies for care
Improved Coordination of Care
Content Format of Agreement (Present) General Provisions
Authorities
Definitions
Billing and Payment Methodologies
Co-Payments
Quality of Care
Medical Records
Privacy Standards
Rights of Veterans
No Waiver of Sovereign Immunity
Duration of the Agreement
Completed
Muscogee (Creek) Nation (effective 07/01/2012)
Initiated
Pawnee Service Unit (IHS)
Choctaw Nation of Oklahoma
Understanding Government-Government
No VHA-wide strategy for Agreements
Confusion remains about legal authority(ies)
No single VHA format developed
Each agreement may differ
Agreement language can be unwieldy
Each VAMC may differ in its approach
Agreements must be sustainable bi-laterally
Anticipate amendments in implementation
James R. Floyd, FACHE
Medical Center Director
1011 Honor Heights Drive
Muskogee, OK 74401
918.577.3644